Original listing text, shown exactly as published by the company.
The Opportunity
Amae Health is seeking a Member Financial Services Analyst to support our mission of delivering world-class, whole-person care for adults living with serious mental illness.
As we continue to grow our ability to care for individuals living with severe mental illness (SMI), the teams that support our work are expanding as well. We are excited to hire a patient-centric Member Financial Services Analyst who will be at the center of how we ensure that members can access care, while supporting the providers delivering that care.
Reporting to the Manager of Member Enrollment & Financial Services, you will function as part of a dynamic team optimizing for excellent member service and streamlined revenue cycle operations. If you are excited to work at a fast-growing, multi-state behavioral healthcare organization at the intersection of healthcare operations and client services — where no two days look the same — we'd love to hear from you!
What You Will Work On
- Own and manage the member-facing phone line and email, delivering compassionate, timely, and solutions-oriented support
- Review and educate members on Verifications of Benefits (VOBs) so they can access care without delay
- Member Financial Advocacy & Education: Serve as the primary contact for members and families on benefits, authorization status, financial responsibility, payment options, and financial assistance, including self-pay cost breakdowns and de-escalating coverage concerns
- Authorization Management: Track prior authorizations and proactively communicate outcomes (approved date ranges, units/days, expirations, next steps) partnering with clinical, UM, enrollment, and RCM teams
- Financial Assistance Program (FAP) Administration: Support the Financial Assistance Program end to end (intake, documentation, tracking, and communicating determinations) alongside senior MFS staff
- Uninsured Member & Coverage Management: Own the Uninsured Member Tracker: outreach on lapsed/terminated coverage, evaluate alternatives (plan transitions, self-pay, FAP, discharge planning), and reconcile coverage data across systems
- Cross-Functional Case Management: Coordinate insurance, billing, and continuity-of-care cases across departments, escalating complex or sensitive situations to senior MFS staff
- Payer Portal & Eligibility: Verify coverage, authorization requirements, and network participation through payer portals across commercial, Medicare, Medicaid, and state-specific rules in all Amae markets
- Monthly Statement Review: Prepare and review monthly patient statements, audit self-pay balances, and resolve billing discrepancies in line with billing and privacy policies
- Ticketing & Documentation: Document and manage MFS workflows in CRM, keeping timely, accurate case records across Foundry, Canvas, Candid, and Drive
- Process Improvement: Surface recurring member pain points and workflow improvements to the MFS team
What You'll Have
- 2–3+ years of experience working within insurance benefits, billing procedures, and prior authorization processes. SMI/behavioral health experience preferred.
- Experience using commercial insurance payer portals required; Medicare and Medicaid experience highly preferred.
- Experience in an externally facing role, ideally working directly with patients; comfort with phone-based work required.
- Strong communicator who can translate complex payer or process issues into clear action steps across teams.
- High EQ and service orientation — you build trust quickly with colleagues, partners, and members.
- Adaptable and resilient; you thrive in fast-moving, ambiguous environments.
- Organized and detail-driven; you can manage multi-step processes without dropping details.
- Familiarity with CRM systems, EMR platforms, and operational documentation practices.
- Ability and comfort operating on Pacific Time
What We’re Building
Most healthcare companies ask you to optimize an existing system. We’re building one that has never existed.
- A national care model designed for the highest-acuity patients in behavioral health.
- Precision medicine for severe mental illness, using multimodal clinical, behavioral, and social data to personalize treatment.
- A clinical operating system that integrates longitudinal data, real-time patient signals, and purpose-built tools into a single decision layer.
- New science and measurement frameworks to define what real outcomes look like in SMI—stability, functional improvement, and hospitalizations avoided.
- A health-system partnership model providing coordinated SMI care can work at scale.
If you want to maintain the status quo, this isn’t the place. If you want to build what doesn’t exist yet—and change how an entire population receives care—keep reading.
